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Barking and Dagenham
Safer and Stronger Communities Board
Stronger Measures
Barking and Dagenham’s Alcohol Harm Reduction Strategy and
Implementation Plan
2008-2011
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
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Executive Summary
Alcohol misuse and alcohol treatment have not received the same level of
attention and focus that has been given to drug misuse. However, in
response to increasing levels of harm associated with misuse of alcohol and
increased incidences of alcohol related anti-social behaviour, the government
developed a National Alcohol Harm Reduction Strategy for England in 2004.
This began the process of addressing the problem but did not give
partnerships clear targets in relation to reducing alcohol related harm.
In 2007, “Safe. Social. Sensible.” detailed the next steps to be taken and
placed a responsibility on Local Strategic Partnerships to tackle alcohol
misuse, emphasising the need to address the health and anti-social behaviour
problems associated with such misuse.
A new Public Service Agreement (PSA) was also introduced. This puts a
responsibility on Partnerships to:
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Reduce the alcohol related hospital admission rate
Reduce the assault with injury rate
Reduce the public’s perception that alcohol misuse is a big problem
Reduce alcohol misuse amongst young people.
This strategy is Barking and Dagenham’s response to the national strategies
and to the alcohol-related PSAs.
The Partnership’s overarching aim has been to develop a strategy that will
assist them to encourage and support the responsible use of alcohol by both
adults and young people in order to improve the health and lives of people
living, learning and working in Barking and Dagenham and to reduce crime
and antisocial behaviour caused by alcohol misuse
On the face of it, Barking and Dagenham does not appear to have the same
types of problems associated with alcohol misuse as some neighbouring
areas. There is not for example a town centre night-time economy focused on
alcohol with the attendant problems that that brings. However, there is clearly
a need for alcohol intervention services since the current treatment provider
has been overwhelmed by referrals since inception in 2005.
Recent developments have seen more multi-agency working taking place to
tackle the problem of alcohol misuse. For example, the Teenage Pregnancy
Service and the Young People’s Substance Misuse Commissioning Service
have brokered a standing forum to investigate and plan interventions
addressing the use of drugs and alcohol in young people’s sexual
experimentation.
There are also instances of good practice, with the Licensing Department for
example, conducting an ongoing and comprehensive programme of Test
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
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Purchasing, to filter out those premises which consistently serve alcohol to
underage young people.
However, more joint working is needed to ensure that pockets of good work
do not continue in an isolated manner but rather that agencies work together
to maximise gains.
The partnership will also need to ensure that data recording is improved
across all agencies in relation to problems of alcohol misuse. This will ensure
that more accurate baseline information can be ascertained and will further
ensure that the success or failure of interventions can be measured and
resources directed appropriately. This is a priority for the partnership during
the first year of the strategy.
The Partnership will also need to conduct a detailed review of local spending
in relation to alcohol based on the data gathered. This will provide a full
picture of the direct and indirect expenditure related to alcohol misuse. In
turn, this will enable the partnership to evaluate more accurately where
resources are being spent and where there may be a lack of investment.
It is acknowledged locally that alcohol has a pervasive reach, touching many
groups and areas of society and is a factor in many adverse incidents. In
respect of this, this strategy takes its lead from a number of local strategies
and plans. These include:
 Community Cohesion Strategy
 Domestic Violence Strategy
 Anti-social Behaviour Strategy
 Children and Young People’s Plan
 Vulnerable Adults
 Young People’s Engagement Strategy
 Transitions Strategy
The strategy has been developed under the aegis of the Safer and Stronger
Communities Board and as such has had the full support of all partners
including:
 Barking and Dagenham Primary Care Trust
 London Borough of Barking and Dagenham
 Metropolitan Police Service, Barking and Dagenham
 North London Probation Service, Barking and Dagenham
 North East London Mental Health Trust
 Community Alcohol Team (provided by CRI)
 London Fire Brigade
The London Drug and Alcohol Network “Alcohol Strategy Toolkit” was utilised
to guide the development of the strategy and data from the North West
Region Public Health Observatory used to inform the direction of the strategy.
In line with the trajectory of the national alcohol strategies, this strategy
focuses on a range of issues but has a particular focus on reducing health
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
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problems associated with alcohol misuse and on reducing alcohol related
crime.
Alcohol in Context: A national problem
“Alcohol and fast food are portrayed as offering excitement, escape and
instant gratification. Television, computer games and the sofa offer attractive
entertainment options. In contrast, the portrayal of healthy lifestyles by
government can seem preachy, boring and too much like hard work.”1
Health Care
Nationally, alcohol misuse is linked to2:
 Annual expenditure of around £95million on alcohol treatment,
 180,000 hospital admissions annually for alcohol related illness or
injury3
 Approximately 22,000 premature deaths per annum,
 Up to 70% of all admissions to accident and emergency (A+E), at peak
times
Current health advice states that for men who regularly drink more than 8
units a day and women who regularly drink more than 6 units a day (or 50/35
units per week respectively) the risks of various diseases, such as liver
disease, stroke etc., are significantly higher.
Alcohol places a significant burden on health services, particularly A+E and
mental health services. The Alcohol Harm Reduction Strategy for England
estimated that the total cost of alcohol misuse to the NHS is around £1.7billion
per annum.
Crime and Anti-social behaviour
Alcohol misuse shows strong links to violent crime. However, as a result of a
general fall in the levels of violent crime since 1995, as measured by the
British Crime Survey (BCS), the actual number of offences where the offender
is believed to be under the influence of alcohol has dropped by about third
since 1995.
While alcohol consumption is most likely to be associated with violence
committed by strangers and with incidents which result in wounding, it has
been estimated4 that offenders were thought to be under the influence of
alcohol in nearly half of incidents of domestic violence (44%) and
1
Choosing Health. (DH 2004)
Alcohol Harm Reduction Strategy for England (Cabinet Office, 2004)
3
Safe. Sensible. Social. (DH/HO 2007)
4
Budd (2003) quoted in Safe. Sensible. Social
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acquaintance violence (44%), whereas they were least likely to be under the
influence in incidents of mugging (21%).
More generally, alcohol is linked to disorder and significantly contributes to
driving up people’s fear of crime. According to BCS figures (Lovbakke J. et al
(2007)) around 25% of the population think that people being drunk or rowdy
in a public place is a serious problem.
Loss of Productivity and Profitability
Alcohol misuse is a major employer concern. A survey carried out by the
Office for National Statistics5 determined that employed people are more likely
to have heavily consumed alcohol the previous week, in comparison to those
not working. By addressing alcohol in the workplace, the London Borough of
Barking & Dagenham (LBBD) will tackle inappropriate drinking, where the
consequences have an affect on activities undertaken whilst at work. Many
people also consume alcohol socially, without experiencing problems.
Alcohol can fuel many issues in the workplace6:
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Absenteeism: Studies show that absenteeism can cost approximately £2
billion annually and has a causal connection to occasional or excessive
drinking;
Performance and Productivity: An employee can under perform as a result
of a hangover or under the influence of alcohol. Possible side effects of
binge drinking (which can last several days) are anxiety, depression and
fatigue;
Accidents: Approximately 20-25% of workplace accidents can be attributed
to alcohol consumption. By impairing judgment, concentration and coordination, a drinker can affect the health and safety of colleagues. The
Health & Safety at Work Act (1974) attempts to counteract this.
Cost through loss of staff and recruitment: Organisations experience
increased recruitment costs when replacing a person misusing alcohol.
It is estimated that the cost of lost productivity as a result of alcohol misuse is
around £20 billion per annum and that up to 17 million working days are lost
as a result of alcohol misuse per annum7.
Harm to children, young people, families and society
It has been estimated that between 780,000 and 1.3 million are affected by
parental alcohol problems. Marriages where there are alcohol problems are
twice as likely to end in divorce. The children of alcohol misusers are more
5
Office for National Statistics (2000) Living in Britain: Results from the 1998 General Household
Survey. London: The Stationery Office
6
Alcohol Concern: Factsheet – Effect of alcohol use in the workplace
7
Alcohol Harm Reduction Strategy for England, 2004
Barking and Dagenham Draft Alcohol Strategy
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likely to drink earlier and to experience behavioural problems and poor
outcomes at school.8
In addition, up to half of all rough sleepers have problems with alcohol. The
estimated cost of the human and emotional impact suffered by victims of
alcohol related crime is £4.7 billion per annum, nationally.
Hazardous alcohol consumption may be defined as a level of consumption or
pattern of drinking that is likely to result in harm should present drinking habits
persist. Harmful consumption is the consumption of alcohol which causes
harm to the psychological or physical well being of the individual9.
The need for a local strategy
Alcohol misuse affects individuals, families and the wider community, whilst
placing a huge burden on our health, wellbeing, social care and criminal
justice system. In attempting to address these problems, we are struggling
against cultural norms – alcohol is a widely used and widely accepted
substance and its use is intimately connected with celebration and
consolation.
The picture in Barking and Dagenham is somewhat complex.
The local alcohol treatment provider, Barking Community Alcohol Team (CAT)
has reported an overwhelming number of referrals for all its services since its
inception in 2005. This oversubscription is balanced by Hospital Episode
Statistics which suggested that Barking and Dagenham is one of the 10 local
authority areas nationally with the lowest levels of “hazardous” drinking (as a
percentage of adults aged 16+):
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8
Slough 16.2
Wolverhampton 16.2
Barking and Dagenham 16.1
Boston 16.0
Lewisham 16.0
Tower Hamlets 15.9
Hackney 15.7
Redbridge 15.3
Waltham Forest 15.3
Newham 14.1
Safe. Sensible. Social. (2007)
Taken from WHO, 1992
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There is, however, some concern locally that this data is not representative of
the actual picture. Further investigation needs to be undertaken in order to
fully understand this issue and to rectify any potential discrepancies.
Local perceptions of alcohol misuse also present a somewhat mixed picture.
The Best Value General User Survey 2006/07 indicates that only 14% of local
people feel that people being drunk or rowdy in public spaces is a “very big”
problem (as opposed to 35% who felt that drug use or drug dealing is a very
big problem).
This contrasts with 47% who think that teenagers hanging around on the
streets is a “very big” problem and indeed the Parks Police report that around
90% of the callouts they receive from members of the public are reports of
young people “hanging around in parks drinking and/or taking drugs”.
However, the findings lead the report’s authors (Ipsos MORI)10 to conclude
that “…issues such as…people being drunk or rowdy in public places are not
a major problem for the vast majority of local residents.” This concurs with the
observation of the Community Safety Group Manager that alcohol as a
problem is not generally raised at public meetings.
These findings contrast with a survey conducted by the DAAT at the Town
Show in August 2007. While the sample population for this survey was selfselecting, the results from 137 people interviewed show that 77% of adults felt
that binge drinking amongst young people was a problem locally.
Nonetheless, a key priority for the Partnership is to reduce the perception
locally that drunk or rowdy behaviour is a problem. To help achieve this, a
series of local alcohol harm reduction campaigns will be run. In addition
better data recording of CCTV logged incidents will be implemented in order
to target any “hotspot” areas.
Alcohol Treatment
The London Ambulance Service report that for Barking Dagenham, during 0607, 1.6% of their call-outs were for alcohol related problems. These include
accidents, falls, alcohol poisoning, “abnormal behaviour” and suicide
attempts.
During 2006-07, there were a total of 275 hospital inpatient episodes in
Barking and Dagenham directly related to alcohol misuse. Of these, over
51% were for “Mental and Behavioural Disorders Due to Alcohol”. 41% were
hospitalised for Alcoholic Liver Disease. Only 2.5% were treated for
“Degeneration of nervous system due to alcohol”.
However, there were a further 166 inpatient episodes which had a secondary
alcohol misuse diagnosis. Again, the majority of these (66%) were for “Mental
10
Full report may be found at http://www.barking-dagenham.gov.uk/features/react/pdf/bvpi-generaluser-survey-0607.pdf
Barking and Dagenham Draft Alcohol Strategy
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December 2007
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and Behavioural Disorders Due to Alcohol”. 15% had a secondary diagnosis
of Alcoholic Liver Disease.
Perhaps surprisingly, only 5 admissions during this period were for “Toxic
Effects of Alcohol” (1.8%).
Admissions for Alcoholic Cardiomyopathy,
Alcoholic Gastritis, Alcohol-induced Chronic Pancreatitis were also low, at
less than 1.8% for each condition (or less than 5 admissions during the
period).
Approximately 10% (n=14) of those admitted for “Mental and Behavioural
Disorders Due to Alcohol” were under 18. There were less than 5 under-18
admissions due to “Toxic Effects of Alcohol”.
Locally, it would appear that Accident and Emergency (A&E) data is poorly
coded and a large proportion of A&E admissions are completely uncoded 11.
The Partnership will need to look at ways of addressing this problem since
nationally, research suggests that up to 70% of all admissions to A&E during
peak times are alcohol related12. In addition, the Psychiatric Liaison Service,
based at Queen’s Hospital Romford, report that around 60% of the referrals
they receive from A&E are for problem drinkers.
During the same period (2006-07), the Psychiatric Liaison Service triaged
around 379 individuals who were apparently drunk. A total of 245 episodes of
problematic or dependant drinking were noted.
This would suggest that there is a relatively high incidence of alcohol related
health problems being addressed by A&E. Further research and improved
admission coding is needed to fully understand this issue in Barking and
Dagenham.
However, understanding this issue is crucial. A study conducted in 2000 13
showed that employing specialist nurses in the A&E department of an inner
city hospital prevented unnecessary admissions to the hospital and
encouraged better patient education and links with other services. For the
hospital concerned (The Royal Liverpool Hospital) this resulted in the
discharge of 258 patients who might otherwise have been admitted, resulting
in a considerable cost saving to the hospital.
This “Invest to Save” approach, by investing in both A&E and Community
Treatment will assist the partnership in reducing the number of hospital
admissions due to alcohol (a key Public Service Agreement Target).
During 2006-07, 224 people received an intervention from the Community
Alcohol Team. Of these, 168 received a Tier 3 intervention (Structured
11
Source of Hospital Admission Data: Public Health Dept. Barking and Dagenham PCT.
National Alcohol Harm Reduction Strategy (2004).
13
Pirmohamed, M. et al (2000): “The burden of alcohol misuse on an inner-city general hospital”
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Counselling and/or Structured Day Programme). In addition, CAT carried out
approximately 30 community detoxes.
The majority of people in community treatment are male (around 70%) and
the overwhelming majority are White British.
The male/female ratio for community treatment is consistent with the national
picture and consistent with our local in-treatment drug using population.
However, further investigation is needed to ascertain if this is a true
representation of local need.
In addition, research commissioned by the DAAT in 200514 indicated that
there were significant levels of drinking among women from African
communities in B+D. This would indicate that more needs to be done to make
services accessible to all community groups, perhaps through the use of
outreach services.
CAT have also seen an ongoing increase in the number of Eastern European
clients entering treatment. This warrants more detailed investigation to
establish whether more targeted services for are needed for this group.
Approximately 20% of CAT referrals come from criminal justice agencies.
However, of these, only 40% actually make it into treatment. This high dropout is potentially problematic, especially given that Safe.Social.Sensible.
places an emphasis on reducing alcohol related crime. However, it is likely
that alcohol treatment for criminal justice clients will be markedly improved by
developing Drugs Intervention Programme-type mechanisms for alcohol
clients.
CAT have received an increasing number of referrals since the service was
launched in October 2005. In the past, this has caused blockages and delays
in people being able to access treatment. However, CAT has instigated a
decision making matrix in order to prioritise those most at risk. These would
typically be those who represent a danger to themselves or others, especially
children, as a result of their drinking. This has resulted in some decrease in
waiting times for treatment.
However, despite these measures, waiting times for the service are still higher
than Partnership aspirations and there is clearly an issue with regard to the
current capacity for the service to meet demand. In addition, further work
needs to be undertaken with GP services, both by CAT and by the PCT, to
provide interventions to clients in primary care settings.
A challenge for CAT remains the need to increase their visibility and their links
with other services, particularly primary care and mental health services.
More in-reach services are needed to work with individuals in these settings
and to improve liaison with A+E. As a matter of urgency, protocols need to be
14
Transocean Development Agency (2005):
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developed with the A+E services to facilitate access to specialised treatment
(particularly Brief Interventions) for clients in these settings and also in
settings GP.
CAT is currently commissioned under a joint arrangement with the London
Borough of Havering. This stems from the time when most substance misuse
services were commissioned jointly by both boroughs. However, over the
years, differing types of need have emerged in each borough and the drug
treatment services are no longer jointly commissioned. It would therefore
seem that there are potential local gains to be made from re-commissioning a
community alcohol treatment service as a stand alone Barking and
Dagenham service.
In addition, the partnership will need to examine in more detail the level of
medical input into CAT. Unlike the drug service, which is consultant lead, the
Community Alcohol Team does not have dedicated medical input.
Community detoxes are carried out by a Nurse (in conjunction with the
patients GP) but the service does not have the ability to refer patients for
specialist treatment to an in-house medical officer.
Some alcohol related treatment is also provided by GPs. Work is currently
underway in conjunction with the PCT to try to establish locally what the
situation is with regard to GPs and alcohol related treatment. This requires
detailed work with individual surgeries as this information is not collected
centrally. However, once completed, this will give the partnership a better
understanding of levels of Harmful and Hazardous drinking in Barking and
Dagenham (as measured by units of alcohol drunk).
The local Shared Care Monitoring Group has recently taken on the issue of
GPs and alcohol misusers. The group aim to expand the current shared care
arrangements which cover drug misusers and apply these where possible to
alcohol misusers. This is a new direction for the group, but as this develops it
will provide improved support to GPs working with alcohol misusers. This
should in turn result in improved primary care treatment options for patients.
Drug Treatment Services
In Barking and Dagenham, the majority of drug treatment services are not
commissioned to provide services for people with primary alcohol problems.
However there are a significant number of drug users who also use alcohol
problematically.
The Stimulant Service estimates that approximately 28% of its service users
report using alcohol problematically (rather than social drinking). While their
stimulant use (mainly cocaine powder) is the factor that brought them to
treatment, the treatment provider necessarily has to address the alcohol
misuse in order to provide effective treatment. In addition, these stimulant
users report that alcohol misuse is the factor that triggers the stimulant use.
Mental Health Services
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Both the Home Treatment Team and the mental health inpatient wards for
Barking and Dagenham report that alcohol misuse is a big problem amongst
their service users.
Analysis of the ICD10 Codes (the psychiatric admission codes) for the first 2
quarters of 2007-08 suggests that around 30% of Barking and Dagenham
admissions across the whole of the North East London Mental Health Trust
(NELMHT) have alcohol misuse as a factor. Ward Staff at Ash Ward (the
male admission ward) have calculated from the admissions logs that 17% of
those admitted to the ward have an identified alcohol problem. A further 25%
have a drug and alcohol problem (with a further number having a drug only
problem).
The Home Treatment Team estimates that every third client they see is
experiencing problems related to alcohol while the Dual Diagnosis workers
report that between 25-30% of their clients have alcohol related problems.
However, HUBB, the local Mental Health Advocacy service estimates that
around 90% of their clients have alcohol related problems. This suggests a
much larger problem than current data recording systems are picking up.
HUBB suggests that the problem is masked by a number of factors including
the way alcohol is used, undiagnosed problems and by self-reporting.
Clearly alcohol misuse has a major impact on mental health services. Ward
staff report that it is not uncommon for clients who are clearly ‘under the
influence’ to be brought in by police under emergency section. In a majority of
these cases, the behaviour that brought the individual to the attention of the
police is the result of alcohol intoxication rather than mental health problems.
Such use of inpatient wards as a “sobering up” facility is clearly inappropriate.
More training may be needed for the police in dealing with individuals who are
intoxicated and more training for mental health workers in understanding
police pressures. Improved links are also needed between mental health
services, and community alcohol treatment services. Outreach services are
required to support clients with alcohol misuse problems who are discharged
from mental health services (and who often will not reach alcohol treatment
services despite referrals being made). “In-reach” services are needed on the
wards to provided support for those inpatients requiring specialised alcohol
services.
Learning Disability Services
It is likely that there may be a need for some alcohol intervention services
amongst service users with learning disabilities. However, at the current time
there is limited data available to quantify this need or direct the type of
intervention that may be required.
It has been agreed that the Drug Use Screening Tool (DUST), which also
screens for alcohol, will be used as part of the assessment of individual need
amongst this group of services users. This will more readily identify those
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Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
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individuals who may benefit from some type of alcohol intervention. The
partnership will also have to ensure that services are commissioned to meet
these needs.
The partnership will work closely with Transitions Services for people with
learning disabilities moving into more independent forms of living to ensure
that appropriate advice, information and interventions are available as
appropriate.
Older People’s Services
Anecdotal evidence locally suggests that a large number of community care
packages for older people break down as a result of alcohol misuse problems.
In addition, there is also anecdotal evidence that local taxi firms are providing
a “collect and deliver” service to older people, providing a readily available
source of alcohol.
Interventions for older people with alcohol problems are often hampered by
the view that “at their age, it doesn’t really matter” or that they deserve a “bit
of fun at their time of life”. In truth, alcohol misuse can be more damaging
amongst older people contributing to potentially life threatening falls and
accidents.
CAT currently have no upper age limit, but are not commissioned to provide
comprehensive outreach services. The partnership will need to ensure that
appropriate services are commissioned to provide interventions to older
people and to work with older people’s services to ensure that appropriate
data can be collected.
Criminal Justice Services
The police no longer flag incidents of domestic violence where alcohol is a
factor. It would be useful if this were reinstated in order to provide a clearer
picture and to enable targeted input.
Data from the Drug Arrest Referral Service (based in the custody suite at
Dagenham East Police Station) indicates that for the period August 2006 to
August 2007, 13% (n = 44) of people they saw in custody had alcohol misuse
problems. While at face value this may not seem especially high it should be
noted that the service is not specifically commissioned to work with alcohol
misusers and therefore this percentage is not representative of the actual
number of arrests.
Police custody data for the period 1st April 2007 to 31st December 2007
indicates that there were approximately 302 alcohol related arrests15 during
this time. This would suggest that there are a fairly significant number of
individuals who might benefit from targeted interventions in custody (including
Brief Interventions) and contrasts with the 44 individuals seen by the Arrest
15
MPS (Barking and Dagenham) NSPIS Custody data
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Referral Service over a 12 month period. 82% of these arrests were for traffic
or motor vehicle associated offences. This further suggests that local, multiagency drink driving campaigns would be beneficial.
From the 1st January 2007 to the 31st December 2007 there were 460 reports
of alcohol related violence. In addition, there were a further 163 reports of
alcohol related violence in and around licensed premises16.
For the same period, there were also:
 212 incidents of street drinking
 85 licensing incidents
 441 incidents of rowdy/nuisance neighbours
 4752 incidents of rowdy/inconsiderate behaviour17.
Alcohol is not specifically mentioned in the last two categories
(rowdy/nuisance neighbours and rowdy/inconsiderate behaviour) but it is likely
to be a significant factor in a number of these incidents.
It should be noted that both CAD and CRIS data does not necessarily reflect
actual crime and that some incidents may be recorded more than once on
each system. Further investigation is therefore required.
Data from the Northwest Region Public Health Observatory suggests that
Barking and Dagenham has higher levels of alcohol related violent crime and
alcohol related sexual offences than both the regional and national averages.
Current local data does appear to support this. However the partnership is
committed to reducing all crime locally, including alcohol related crime.
During 2006-07, the North London Probation Service had 45 individuals on
Alcohol Treatment Requirement orders. These are community orders
targeted at those individuals whose offence is related to alcohol (and does not
warrant a custodial sentence).
Alcohol and Domestic Violence
The Barking and Dagenham Domestic Violence Strategy 2007-10 reports that
between April 2005 and March 2006, Barking and Dagenham Police received
approximately 3,784 reported domestic violence incidents. This equated to a
15.5% increase over the same period the previous year.
However, the strategy notes that “Considerable difficulties have been
experienced in collecting accurate data on domestic violence”. This makes it
difficult, therefore, to gauge to what extent alcohol is a factor in these
incidents. National research would suggest that this should be somewhere in
the region of 30 to 40% but more robust local data gathering will be necessary
to present an accurate picture.
16
MPS (Barking and Dagenham) CRIS reports
MPS (Barking and Dagenham) CAD data
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Officers working in the Domestic Violence Team additionally point out that
while alcohol is a factor in a significant number of instances of domestic
violence, alcohol use is not a causal factor. Put simply, the suggestion is that
dealing with an alcohol dependence problem will not lessen the instances of
domestic violence.
The above notwithstanding, since the overall aim of the Domestic Violence
Strategy is to “reduce the incidence of domestic violence, and to prevent
domestic violence related homicides in Barking and Dagenham” reducing
levels of alcohol usage will have some positive impact since the disinhibiting
effects of alcohol are widely documented. It is likely that reducing alcohol
consumption in this context will at the very least raise the threshold for the
violent behaviour.
While the Domestic Violence Service rightly provides support for the victims of
domestic violence, where alcohol is a factor improved protocols between the
Domestic Violence Service and community alcohol treatment services would
be beneficial.
Young People and Alcohol
Barking and Dagenham has the eleventh highest teenage pregnancy rate in
the country and the fourth highest in London. In 2005, the under 18
conception rate (conceptions per 1000 females aged 15-17) was 64%18.
Reducing the under 18 conception rate by 50% (from 1998 baseline) by 2010
is a key Public Service Agreement target for the local partnership.
While there has been limited study locally of the factors affecting teenage
pregnancy, nationally alcohol use is strongly linked with young people
experimenting sexually. “Sex, Drugs, Alcohol and Young People”, a report
published by the Independent Advisory Group on Sexual Health and HIV in
June 2007 noted “That alcohol and drugs are used to enhance sexual activity
is in no doubt”. The report further states that “Alcohol consumption must be
reduced if there is to be an effect on risk; by early intervention and by making
it more difficult to purchase alcohol underage”.
However, it is important that the messages are consistent with the way young
people view their behaviour. In the arena of sex, young people do not view
their actions as “risky” but rather see themselves as experimenting.
A consistent and joined up approach has been advocated locally by the
Young Persons’ Substance Misuse Commissioner and by the Teenage
Pregnancy Unit to ensure that the message is indeed the right one.
Subsequently, a focus group has been set up to look at this issue and to
make recommendations to the Teenage Pregnancy Board and to the Young
People’s Substance Misuse Commissioning Board. The recommendations
18
B+DPCT Public Health Report No Dph 195, February 2007
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
from this group will be incorporated into the Implementation Plan for this
strategy.
Anecdotally, local Young People’s services report high levels of binge drinking
in under 18s. During the consultation to this strategy, this problem was
identified by a number of professionals across a range of agencies. However,
this information is not recorded by local services and where information on
alcohol use is kept it is generally noted as “Substance Misuse” or
“Drug/Alcohol misuse”. A better understanding of this problem will be a key
priority for the first year of the strategy.
However, some information is available from young people in Barking and
Dagenham themselves. The TellUs2 Survey (a mandatory national survey of
young people across England) revealed that:


47% of local young people stated that they had never had an alcoholic
drink (against 42% nationally)
42% stated that they had had a full drink (against 48% nationally)
Young people are not just harmed by their own drinking. They are sometimes
at risk due to parental drinking problems. This harm can manifest itself in a
number of ways, including abuse, neglect and domestic violence. Current
recording systems do not allow easy analysis of the child protection register
to determine how many young people are on the register because of parental
alcohol misuse problems. However, this will form part of the needs analysis
work to be undertaken during the first year of the strategy.
Housing Related Services
Service Users and treatment providers report that housing related problems
are a major concern in the Borough.
An alcohol misuse problem on its own does not give an individual priority
need in Barking and Dagenham. However, anecdotally, Homelessness and
Housing Advice Services report that the misuse of substance misuse is a
factor in a significant number of homelessness applications. Some of the
reasons reported are neighbour nuisance problems, noise problems,
threatening behaviour and loud parties.
In addition, in the last 2 years, the Housing Advice Service has taken out 6
injunctions and banned 2 people from their offices. All of these incidents were
related to alcohol or drugs.
Both services feel that a significant gap locally is supported housing provision
for people with alcohol problems. There is 1 specialist Floating Support
Worker based in the team who works with individuals with substance misuse
problems but the team feel that more supported living schemes are needed.
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
A Rent Deposit Guarantee Scheme is in operation and in theory, this service
could be used by people with alcohol problems (who do not have another
priority need). However, the limited funding that this scheme receives means
that it is mostly used to assist families facing homelessness.
Irresponsible Sales
The Licensing Act (2003) was implemented in November 2005. It provides
the framework for the licensing of all premises which sell or supply alcohol.
The Act charges Licensing Authorities with four main objectives:
 The prevention of crime and disorder.
 Public Safety.
 The prevention of public nuisance.
 The protection of children from harm.
The Act covers pubs, clubs bars and off-licences, as well as cinemas and
late-night refreshment venues. There are 270 licensed premises in Barking
and Dagenham. There are also 11 Private Members Clubs in B+D.
When an application is made for a licence to sell alcohol, the applicant must
display a notice in the window of the premise involved stating that a licence
has been applied for. The applicant must also place and advert in the local
paper, stating the same. Additionally, in Barking and Dagenham, the
Licensing Department have a policy of writing to every dwelling within 100
metres of the proposed venue. On occasion, this has necessitated writing to
over 1000 dwellings.
Objections may be made against the Licence by either the public or a
Responsible Authority, as defined by the Licensing Act, but these objections
have to be valid under the terms of the Act. In order for objections to be valid,
there needs to be evidence that the proposed premises would cause or
aggravate an existing problem with noise nuisance, street drinking etc.
Most objections received in Barking and Dagenham are generally not valid
under the terms of the Act. There is therefore scope for more work to be
undertaken locally, perhaps by Neighbourhood Wardens in regard to
education and information provision to local neighbourhoods to enable them
to better understand their rights under the act.
Barking and Dagenham is earmarked for significant development over the
next few years as part of the Thames Gateway regeneration programme.
This regeneration will include mixed housing, community facilities and
restaurants and bars. The exact nature of the development is unclear at this
time, but the Partnership will work together to ensure that local services are in
place to mitigate any pressures this development may pose and also to
ensure that new development is not saturated by licensed premises.
A key challenge nationally, and a commonly held view locally is the challenge
presented by under-age drinking. As part of their duties under the Licensing
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
Act, the Licensing Department conduct a programme of “Test Purchases”
during the course of the year. Test Purchases involve specially selected and
trained young people attempting to buy alcohol from the premises selected.
In 2005-06, the “failure” rate for test purchases for the year (the rate at which
attempts resulted in sales to the young person) was 12% i.e. 12% of tests
resulted in sales to young people. In 2006-07, this rate increased to 29%.
Currently rates suggest that the failure rate for 2007-08 is likely to have
dropped compared to 2006-07 levels.
Test Purchasing is closely supervised by the Licensing Team and the alcohol
is immediately removed from the young Test Purchaser. However, in general,
while a failure results in an on-the-spot fine for the sales assistant and a court
fine for the premises owner, no further action is taken, but the probability is
that the premises concerned has an established under-age market.
In order to provide a more comprehensive approach, the Partnership will look
of ways of involving young people’s intervention services (Subwize, Detached
Youth Workers and the Engagement Team) post-test purchase in order to
provide interventions to this “market”. This will need to be incorporated into
the overall Engagement Strategy for Young People.
More integrated working with young people’s services will also be necessary
to enable targeted intervention at those premises who are selling only to
known (under-age) buyers, who are largely coming from out of the borough in
order to purchase alcohol.
Service Users
CAT’s Service User Group has stressed the need for outreach services.
Many service users talk of the importance of having low-key interventions
during the precontemplative phase in order to prepare them for treatment.
Most state that the best form this intervention could take would be community
outreach services. Some have spoken of “stumbling across” community
treatment services. Others resorted to paying for detoxes and rehabs from
their own resources as they had no idea how to access treatment otherwise.
Further, the group feel that Peer Support Services/Mentoring Services are
needed locally and that these could be used to support individuals before,
during and after treatment and also to carry harm reduction messages,
especially into schools. There is some evidence that unofficial peer support is
being tapped into by GPs.
There is a feeling that alcohol treatment is the “poor relation” in comparison
with drug services. The group speak of the need in Barking and Dagenham
for an alcohol Treatment System, similar to the drug Treatment System, rather
than a single treatment provider. They also feel that there is a lack of space
at CAT.
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
Part of the issue around space will be resolved by re-commissioning CAT as a
Barking and Dagenham service. It was originally commissioned jointly with
Havering but there have been ongoing problems with locating a service within
Havering and the site at Ripple Road is the main client site.
However, there is also a feeling amongst the group that some of the
messages around alcohol misuse may be getting through. There is a
perception that people from younger age groups are seeking treatment at an
earlier point than has traditionally been the case. Again, the Partnership need
to conduct further needs analysis into this.
The Partnership recognises that service users and ex-service users can play
an important role in delivering a mixed economy of health and social care
provision. It will therefore seek to harness these skills from all available local
service user groups in order to provide the services and interventions needed
locally and to optimise access to services.
Carers
There is currently no local carers group for carers of alcohol misusers. It was
not possible to elicit the views of carers during the production of this strategy.
The lack of services for carers in this respect is a major gap which the
partnership will address by working closely with local carer services.
Alcohol in the Workplace
An employee can under perform as a result of a hangover or under the
influence of alcohol. Possible side effects of binge drinking are anxiety,
depression and fatigue and these can last several days. All of these side
effects can affect productivity, outputs and effectiveness of employees and
have a negative impact on safety in the workplace. However, it is difficult to
quantify locally the exact effect that alcohol misuse has in the work
environment.
Generally, individuals do not self-report to managers or via sickness recording
routes the fact that they are experiencing ill-effects of alcohol misuse. If an
employee takes time off due to excessive drinking they are much more likely
to report the cause as a stomach upset, or food poisoning etc.
Some local employers, most notably within the Safer and Stronger
Partnership, do have a workplace alcohol policy. However, these are often
somewhat blunt instruments and need some refining. The Local Authority has
agreed to review its internal policy on alcohol. In addition, the DAAT will
develop a template workplace alcohol policy to be disseminated to all local
employers as required.
It is important to note that as well as the negative impact it can have on
productivity, alcohol can also have a positive impact on the local economy in
the form of new business and new jobs. The partnership will work with
Licensing Authorities to ensure that balance is achieved locally with the need
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
to invigorate the economy of Barking and Dagenham balanced against the
need to avoid saturating the area with alcohol-based businesses and the
social problems this might fuel.
The Partnership will also work with employers to develop training and
employment opportunities for those whose treatment gains make this a viable
option. These training and employment opportunities will also be developed
for young people in order to provide more productive options.
Local Growth
Barking and Dagenham is part of the Thames Gateway programme and parts
of the borough are earmarked for intensive redevelopment. While the precise
plans are uncertain at this stage, it is likely that the redevelopment will include
new pubs and bars. The partnership will ensure that it has good links with
planning and regeneration services to ensure that local intervention and
support services are ready for any challenges that this development may
throw up and that new development is not saturated by alcohol driven
business.
In addition to this, the 2012 Olympic Games are due to bring development
and regeneration to East London. This is likely to impact on Barking and
Dagenham. The development and regeneration will see an influx of workers
in the form of construction workers, lorry drivers etc. It is possible that many
of these workers will be non-British. While the exact impact of this and the
need for services that it might generate is unknown, it is possible that alcohol
misuse will figure in the full picture.
In order to better understand how this may affect Barking and Dagenham, the
partnership will undertake an impact assessment, to inform not just its
response to alcohol misuse but also to other areas.
What does this mean for Barking and Dagenham?
Safe.Sensible.Social. and the new Public Service Agreement (PSA) places a
responsibility on partnerships to develop a local Alcohol Harm Reduction
Strategy prioritising health, crime and community safety issues. The Police
and Justice Act (2006) requires local areas to have a strategy to tackle
alcohol misuse.
In addition, for the first time, partnerships have a new PSA target directly
connected to alcohol. This was perhaps one of the major weakness of the
first National Alcohol Harm Reduction Strategy.
PSA 25 has 3 key indicators related to alcohol:
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3



Reduce the number of alcohol related hospital admissions. Baseline
data will be given to partnerships in December 2007. To support
partnerships in the delivery of these targets, the North West Region
Public Health Observatory is collating data on a PCT/Local Authority
level.
Reduce the percentage of the public who perceive drunk or rowdy
behaviour to be a problem in their area. This information will be taken
from the British Crime Survey (BCS) and baseline data will be released
in July 2008.
Reduce the Assault with Injury Crime Rate.
There is also a related alcohol indicator from DCSF. PSA 14 requires a
reduction in drug, alcohol and substance misuse by young people. The
OFSTED TellUs annual survey is being piloted as the dataset for this
indicator.
Our strategic vision
To encourage and support the responsible use of alcohol by both adults and
young people in order to improve the health and lives of people living, learning
and working in Barking and Dagenham and to reduce crime and antisocial
behaviour caused by alcohol misuse.
Our aims and objectives for alcohol harm reduction
We want to reduce alcohol related harm in Barking and Dagenham so that
residents do not suffer the consequences of their own or others’ alcohol
misuse. We will achieve this by:
1. Improved and better targeted education and communication.
2. Better, and more rapid, identification and treatment of alcohol
problems.
3. Better co-ordination and enforcement of existing powers against crime
and disorder.
4. Encouraging licensed premises to promote responsible drinking and to
take a role in reducing alcohol related harm.
5. Better recording, collating, analysing and monitoring alcohol related
data, including an annual alcohol needs assessment.
Our 3 main strategic aims and their associated targets and objectives are
outlined in the table below.
Aims and Targets
Objectives
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
Aim: To help young people to resist alcohol misuse in
order to achieve their full potential in society.
Target: To reduce the number of young people reporting
the use of alcohol.
To ensure that all young people access a planned drugs,
alcohol and tobacco education programme as part of
schools PSHE programmes.
To ensure that parents receive appropriate information
on alcohol misuse and other services.
To ensure that young people identified as being
vulnerable receive appropriate advice, information,
education and support.
To ensure that young people identified with alcohol
misuse problems receive an appropriate intervention.
Aim: To protect communities in B+D from alcohol
related crime.
To increase the number of offenders accessing alcohol
treatment.
To reduce alcohol related youth offending and nuisance.
Target: To reduce alcohol related crime and disorder
and the public’s perception of alcohol related problems
To reduce public drunkenness
To reduce the number of alcohol related violent crimes.
To reduce the number of drink driving offences.
To initiate alcohol related workplace initiatives
To reduce the amount of illegal alcohol sold in the
community.
Aim:
To enable people with alcohol problems to
overcome them and lead healthy lives.
To ensure that all people with alcohol related problems
have access to appropriate services.
Target: To increase the number of people in contact with
alcohol treatment services.
To ensure that all problem drinkers have access to
services will enhance their lifestyles.
Target: To reduce the number of
hospital admission.
alcohol related
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
The table below sets out each of the strategic aims with the respective overall
targets, objectives and performance indicators:
Overall Target
To
reduce
the
number of young
people reporting use
of alcohol
Objective
1. To ensure that all young
people access a planned drugs,
alcohol and tobacco education
programme as part of schools
PSHE programmes.
2. To ensure that parents and
carers
receive
appropriate
information on local alcohol
support services.
3. To ensure that young people
identified as being vulnerable
receive appropriate education,
advice, information and alcohol
misuse support.
4. To ensure that young people
identified as having problems
with alcohol misuse receive an
appropriate intervention or care
package
To reduce alcohol
related crime and
disorder.
1. To increase the number of
alcohol crime related offenders
accessing
treatment
programmes
Baseline Information
XX% schools delivering a
planned drugs alcohol and
tobacco
education
programme.
Performance Indicator
30% increase in schools
delivering a planned drugs
alcohol
and
tobacco
education programme.
XX% of schools with an up
to date substance misuse
policy in line with local and
national guidelines.
30% increase in schools
with an up to date
substance misuse policy in
line with local and national
guidelines.
XX% school drug policies
which outline work with
parents and carers
30% increase in school
drug policies which outline
work with parents and
carers
%age increase in the
number of young people
receiving
advice
information and support.
(Target = 100% by )
Number of young people
in LBBD determined to be
at risk - %age of young
people currently receiving
advice information and
support
Number of young people
in LBBD identified as
having alcohol misuse
problems
–
number
receiving
a
treatment
intervention
Number of offenders
accessing treatment
services = 20
Number
of
incidents
alcohol related crime and
disorder
Number of ex-offenders
and
prison
returnees
receiving treatment for
their alcohol problems
Number of ATRs made.
2. To reduce the level of alcohol
related youth offending and
nuisance
3. To reduce incidents of public
drunkenness
4. To reduce the number of
alcohol related violent crime
5. To reduce the number of
drink driving offences
6. To reduce the amount of
illegal alcohol sold in the
community (including alcohol
Number of youth offences
related to alcohol –
number of alcohol related
youth nuisance reports
Number of alcohol related
injuries reported to A+E
Number of alcohol related
crime
and
disorder
offences
Number of alcohol related
violent crimes
Number
of
domestic
violence incidents where
alcohol is a factor
Number of drink driving
offences
Number
of
licensed
premises inspected by
trading standards
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
Increase by 50%
Increase by 150% the
number
of
offenders
receiving alcohol treatment
interventions
Decrease alcohol related
crime and disorder by 10%
Increase by 30% the
number of ex-offenders
and
prison
returnees
receiving treatment for
their alcohol problems
Increase by 30% the
number of ATRs made.
10%
year
on
year
decrease.
10%
year
on
decrease.
Reduce by 10%
Reduce by 10%
Reduce by 10%
Reduce by 10%
Increase to 100%
year
sold to underage drinkers by
licensed premises)
To
increase
the
number of people in
contact
with
community alcohol
treatment services
1. To ensure that all people with
alcohol related problems have
access
to
appropriate
interventions.
2. To ensure that all problem
drinkers have access to services
which their lifestyle (including
housing education and training)
% failure of Trading
Standards test purchases
Number
of
premises
engaged in the Challenge
21 Scheme
Number of assessments
completed by CAT
224
people
entered
community
treatment
during 2006-07
Number
of
problem
drinkers
in
stable
accomodation
Number
of
problem
drinkers in education or
training
10%
year
on
year
reduction in failure rate of
test purchase to young
people
10% year on year increase
in the number of premises
in the scheme.
Increase by 20%
Increase by 10% year on
year
Increase to 100%
Increase by 10%
Making it happen
The Safer and Stronger Communities Board has overall local responsibility for
ensuring that crime and disorder are reduced and that community safety and
the health of the community is increased. This Board will therefore oversee
delivery of the local alcohol strategy and be responsible for ensuring that
targets in the strategy are delivered.
Membership of the Board includes:
 Barking and Dagenham Primary Care Trust
 Metropolitan Police (Barking and Dagenham)
 North East London Probation
 London Borough of Barking and Dagenham
 London Fire Brigade
 Representatives from Barking and Dagenham Community and
Voluntary Sector
Representatives include officers involved in community safety, drug and
alcohol issues, public health, crime reduction, young peoples services and
youth offending.
In order to support implementation of the strategy, it will be necessary for the
Partnership to identify what resources are available locally. The success of
the Partnership Drug Treatment Plan is underpinned by the Pooled Treatment
Budget, a budget created by pooling funding streams from the Police,
Probation, Local Authority and Health Services. This encourages these
organisations to work collaboratively to achieve common goals.
This level of co-ordination is unlikely to be imposed centrally, so the
Partnership in Barking and Dagenham are investigating ways of creating a
locally pooled budget for alcohol. However, currently it is difficult to establish
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
exactly what resource each organisation is directing towards alcohol and
therefore what may usefully be pooled. This will require more detailed work.
Some areas are relatively easy to ascertain. The DAAT for example spends
around £300K on community treatment in various forms. It will be more
difficult to establish the exact level that the Primary Care Trust and other
organisations spend but this work needs to be undertaken in order to facilitate
invest to save measures.
The Implementation Plan below will be used by the Board to plan and deliver
their strategic objectives for alcohol harm reduction. However, due to
limitations with current data collection in respect of alcohol, a key activity for
the first year of the strategy will be to conduct a comprehensive crossorganisation alcohol needs assessment. This needs assessment may
highlight the need for priorities and actions to be amended so all actions are
provisional at this stage.
Better recording, collating, analysing and monitoring alcohol related data
Objective
Baseline
Year 1
Appoint Alcohol CoBy April
ordinator to be based
in CSPS but to work
across partnership
Commission
a Limited needs To
be
completed
by
comprehensive alcohol assessment
September
needs assessment for conducted
Barking
and during
2007
Dagenham, which will revealed many
be
completed
by gaps
in
September 2008.
information
Improve local data Limited local Dataset
agreed
across
recording
and data recording partnership.
information
of
alcohol
management
with issues
Data recording begun by
regard
to
alcohol
September
misuse.
Update
Alcohol
By December
Strategy
Reduce the number of young people reporting use of alcohol
Objective
Baseline
Year 1
1. To ensure that all XX% schools Increase by 10%, targeting
young people access a delivering
a schools
in
the
most
planned drugs, alcohol planned drugs deprived wards.
and tobacco education alcohol
and
programme as part of tobacco
schools
PSHE education
programmes.
programme.
XX%
of Draft
template
policy
schools with produced by June.
an up to date
substance
Template
agreed
by
misuse policy Education Services.
in line with
local
and Increase by 10%, targeting
national
schools
in
the
most
guidelines.
deprived wards.
2.
To ensure that XX%
school Draft
template
policy
parents and carers drug policies produced by June.
receive
appropriate which outline
information on local work
with Template
agreed
by
Year 2
Year 3
Lead
DAAT Manager
To
be
completed as
part of the
Substance
Misuse
Treatment
Plan Needs
Assessment
Ongoing
To
be
completed as
part of the
Substance
Misuse
Treatment
Plan Needs
Assessment
Ongoing
DAAT Manager
Annual
refresh
Annual
refresh
DAAT Manager
Year 2
Increase
10%
by
Year 3
Increase
10%
by
SSCB
Lead
Schools Drugs Advisor
Increase
10%
by
Increase
10%
by
YP Substance Misuse
Commissioner/Schools
Drugs Advisor
Increase
10%
by
Increase
10%
by
YP Substance Misuse
Commissioner/Schools
Drugs Advisor
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
alcohol
services.
support
3.
To ensure that
young people identified
as being vulnerable
receive
appropriate
education,
advice,
information and alcohol
misuse support.
4.
To ensure that
young people identified
as having problems
with alcohol misuse
receive an appropriate
intervention or care
package
parents
carers
and
Number
of
young people
in
LBBD
determined to
be at risk %age
of
young people
currently
receiving
advice
information
and support
Number
of
young people
in
LBBD
identified
as
having alcohol
misuse
problems
–
number
receiving
a
treatment
intervention
Education Services.
Increase by 10%, targeting
schools
in
the
most
deprived wards.
Implement alcohol misuse
screening programme by
December
YP Substance Misuse
Commissioner
Commission alcohol training
package for YP Services
30% increase in the number
of young people receiving
advice
information
and
support.
30% increase
in the number
of
young
people
receiving
advice
information
and support.
30% increase
in the number
of
young
people
receiving
advice
information
and support.
Improve data recording in
YP services
YP Substance Misuse
Commissioner/YP
Planning Group
Implement alcohol misuse
screening programme by
December
Increase referrals to YP SM
Service by 30%
Increase
Increase
referrals
to referrals
to
YP
SM YP
SM
Service
by Service
by
30%
30%
Reduce alcohol related crime and disorder and reduce the public’s perception of alcohol related anti-social behaviour
Objective
Baseline
Year 1
Year 2
Year 3
Lead
1.
To increase the 20 offenders
Increase by 50% the Increase by Increase by Alcohol
Co-ordinator
number of alcohol accessed
number
of
offenders 100%
the 100%
the (DAAT Manager)
crime related offenders community
receiving alcohol treatment number
of number
of
accessing
treatment treatment
interventions
offenders
offenders
programmes
services
receiving
receiving
during 06-7
alcohol
alcohol
treatment
treatment
interventions
interventions
Probation service audit of
offenders
with
alcohol
related
offences
by
September.
Pilot Alcohol Arrest Referral
Service (as part of current
ARS)
Number
of
incidents
alcohol related
crime
and
disorder
Number of exoffenders and
prison
returnees
receiving
Commission
Alcohol
Engagement/Outreach
Service to reduce attrition
rates of criminal justice
referrals
Decrease alcohol related
crime and disorder by 10%.
Improve police and CSU
logging of alcohol related
incidents by September
Expand DIP services to
include alcohol misusers
Review
Alcohol Arrest
Referral
Service
Decrease
alcohol
related crime
and disorder
by 10%
Decrease
alcohol
related crime
and disorder
by 10%
SSCB/CSU Manager
15%
increase
in
number of exoffenders and
prison
15%
increase
in
number of exoffenders and
prison
Alcohol
Coordinator/DAAT
Manager
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
treatment for
their
alcohol
problems
2. To reduce the level
of alcohol related youth
offending and nuisance
3. To reduce incidents
of public drunkenness
Number
of
ATRs made.
10% increase in number of
ATRs made.
Number
of
youth offences
related
to
alcohol
–
number
of
alcohol related
youth
nuisance
reports
Improve
recording.
Number
of
alcohol related
injuries
reported
to
A+E
10% decrease.
YOS
returnees
seen by DIP
Service
returnees
seen by DIP
Service
10% increase
in number of
ATRs made.
10% increase
in number of
ATRs made.
data
YOS Manager
Screening and referral tool
for
at-risk
groups
implemented.
10% decrease in number of
offences.
YP Substance Misuse
Commissioner/Schools
Drugs Advisor
10%
decrease
number
offences.
10%
decrease.
in
of
10%
decrease
number
offences.
10%
decrease.
Develop A+E liaison/referral
service.
Number
of
alcohol related
crime
and
disorder
offences
Reduce by 10%
in
of
DAAT
Manager/Treatment
Provider
Develop
alcohol
outreach/engagement
service
Harm Reduction Campaign
targeting at risk populations
Probation ACO
DAAT
Manager/Treatment
Provider
Harm
Reduction
Campaign
Reduce by
10%
Harm
Reduction
Campaign
Reduce by
10%
Alcohol Coordinator
Local harm
reduction
campaign
Local harm
reduction
campaign
Alcohol
Coordinator/DAAT
Manager
Police
Alcohol
Arrest
Referral
Service (as above).
Alcohol
outreach/engagement
service (as above)
4.
To reduce the
number of alcohol
related violent crime
5.
To reduce the
number of drink driving
offences
6.
To reduce the
amount
of
illegal
alcohol sold in the
community (including
alcohol
sold
to
underage drinkers by
licensed premises)
Number
of
alcohol related
violent crimes
Number
of
domestic
violence
incidents
where alcohol
is a factor
Number
of
drink
driving
offences
Number
of
licensed
premises
inspected by
trading
standards
% failure of
Trading
Standards test
purchases
Number
of
premises
engaged in the
Engage with licensees to
ensure they understand
alcohol strategy
Reduce by 10%
Reduce by 10%
Reduce by 10%
Increase to 100%
10% year on year reduction
in failure rate of test
purchase to young people
10% year on year increase
in the number of premises
in the scheme.
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
Challenge 21
Scheme
Increase the number of people in contact with community treatment services and reduce alcohol related hospital admissions
Objective
Baseline
Year 1
Year 2
Year 3
Lead
1. To ensure that all Number
of Increase by 20%
Increase by Increase by
people with alcohol assessments
20%
20%
related problems have completed by
access to appropriate CAT
interventions.
224
people
entered
community
treatment
during 200607
2. To ensure that all
problem drinkers have
access to services
which improve their
lifestyle
(including
housing education and
training)
Number
of
problem
drinkers
in
stable
accomodation
Number
of
problem
drinkers
in
education or
training
Increase by 10%
Alcohol awareness training
programme for Tier 1
agencies
Template
alcohol policy
for workplace
Develop Brief Intervention
Training
Resource
and
“Train
the
Trainers”
Programme
Pilot the use
of
alcohol
screening
tools
(e.g.
CAGE)
in
primary care
setting
Disseminate
template
policy
Fund the delivery of alcohol
intervention to include:

Advice
and
information

Outreach (and Inreach) Services

Brief Intervention
Services

Alcohol
Arrest
Referral
Brief
Intervention

Psychosocial
Support

Community
Treatment
including Share
Care

Rehab and Detox

Community based
Aftercare
Increase to 100%
Increase by 10%
Fund carer services
Barking and Dagenham Draft Alcohol Strategy
Neale Thomas, Barking and Dagenham Drug and Alcohol Action Team
December 2007
Version 1.3
PCT/DAAT